電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.5.5
1.5.5 - release Japan

電子カルテ情報共有サービス2文書５情報+患者サマリー　FHIR実装ガイド JP-CLINS（CLinical Information Sharing ImplementationGuide） v1.5.5 - Local Development build (v1.5.5) built by the FHIR (HL7® FHIR® Standard) Build Tools. See the Directory of published versions

Example Bundle: Bundle-CLINS-Observations-Example-01

Generated Narrative: Bundle Bundle-CLINS-Observations-Example-01

Last updated: 2023-11-12 10:00:00+0900; Language: ja

Profile: CLINS電子カルテ情報共有サービス用:JP_Bundle_CLINSversion: null1.5.5)

Tag: Observation (Details: Bundleリソースに含まれる５情報リソースタイプ code Observation)

タイプ collection のバンドル Bundle-CLINS-Observations-Example-01

エントリ 1 - fullUrl = urn:uuid:b76ef6f6-f6e3-c110-5039-eee64ef6ab6a

Resource Patient:

患者ID：000999739

被保険者患者番号：00012345:あいう:１８７:05

漢字氏名：マキノ ランマン

カナ氏名：牧野 爛漫

電話：03-123-1234

性別：female

生年月日：1930-06-28

高知県高知市五台山4200-6

エントリ 2 - fullUrl = urn:uuid:f2c5a40b-c7ea-1d52-7e81-7440b1f26f91

Resource Observation:

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-Alb

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCSversion: null1.5.5)

Tag: 長期保存 (Details: 長期保存／未告知診療情報のためのフラグコード code LTS = '長期保存')

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1318814790-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: アルブミン

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

effective: 2021-07-05 11:19:41+0900

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 3.9 mg/L

specimen: Specimen: type = 血清

Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

Language: ja

Profile: JP Core Encounter Profile

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: completed

class: 外来

Generated Narrative: Specimen #Example-Contained-JP-Specimen-Serum

Language: ja

Profile: JP_Specimen

type: 血清

Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002

Language: ja

Profile: JP Core Practitioner Profile

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏

エントリ 3 - fullUrl = urn:uuid:fd601925-858c-2d96-f061-9de1076d419c

Resource Observation:

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-K

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1318814790-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: カリウム

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

effective: 2021-07-05 11:19:41+0900

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 3.5 mEq/L

specimen: 血清

Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

Language: ja

Profile: JP Core Encounter Profile

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: completed

class: 外来

Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002

Language: ja

Profile: JP Core Practitioner Profile

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏

エントリ 4 - fullUrl = urn:uuid:2ac56975-1610-5496-eb0e-c2a5f2f01a62

Resource Observation:

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-eGFR

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1318814790-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: eGFR

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

effective: 2021-07-05 11:19:41+0900

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: 75 ml/min/1.73m2

specimen: 血清

Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

Language: ja

Profile: JP Core Encounter Profile

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: completed

class: 外来

Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002

Language: ja

Profile: JP Core Practitioner Profile

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏

エントリ 5 - fullUrl = urn:uuid:e3a7af80-ca1f-5638-dc97-00fa9458fe1c

Resource Observation:

Generated Narrative: Observation InlineExample-JP-Obs-LabResult-eCS-UTP

Last updated: 2021-07-09 14:11:13+0900; Language: ja

Profile: JP_Observation_LabResult_eCS

JP eCS InstitutionNumber Extension: http://jpfhir.jp/fhir/core/IdSystem/insurance-medical-institution-no/1318814790

JP eCS Department Extension: 循環器診療科

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/1318814790-9990767-OBSLAB13883807672021070909210705-2

status: Final

category: Laboratory

code: 尿蛋⽩(定性)

subject: Bundle: identifier = http://jpfhir.jp/fhir/clins/bundle-identifier#1318814790^2024^0123-IDa-203949583949; type = collection; timestamp = 2023-11-12 10:00:00+0900

encounter: Encounter: identifier = http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier#192844; status = completed; class = 外来

effective: 2021-07-05 11:19:41+0900

issued: 2021-07-05 15:38:59+0900

performer: Practitioner 田中 宏

value: (±)

specimen: 尿

Generated Narrative: Encounter #Example-Contained-JP-Encounter-AMB

Language: ja

Profile: JP Core Encounter Profile

identifier: http://jpfhir.jp/fhir/core/IdSystem/resourceInstance-identifier/192844

status: completed

class: 外来

Generated Narrative: Practitioner #Example-Contained-JP-Practitioner-minimun-D002

Language: ja

Profile: JP Core Practitioner Profile

identifier: urn:oid:1.2.392.100495.20.3.41.11311234567/D001

name: 田中 宏